Elliott, Dawn Renee
Elliott, Dawn Renee is an sole proprietor health care provider with primary practice located at 120 W Calle De Las Tiendas , Green Valley AZ 85614. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Elliott, Dawn Renee can be contacted via phone (520) 570-7884.Contact Information
Primary practice address
120 W Calle De Las Tiendas
Green Valley AZ 85614
Phone: (520) 570-7884
Fax: (520) 844-6773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 49454 | Arizona |
Profile Details
| NPI number | 1659507176 |
|---|---|
| LBN Legal business name | Elliott, Dawn Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2009 |
| Last updated | Aug 15th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659507176 | NPPES |
| Arizona | MEDICAID | 920272 |
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